UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
FORM 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ
INTERDEALER QUOTATION SYSTEM
Filed pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
and Rule 13a-17 or 15d-17 thereunder
COLUMBIA BANKING SYSTEM, INC.
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(Exact name of issuer as specified in charter)
1102 Broadway Plaza, P.O. Box 2156, Tacoma, Washington. 98401-2156
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(Address of principal executive offices)
Issuer's telephone number, including area code (206) 305-1900
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I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of 5% or more in number of shares
outstanding:
1. Title of security common stock
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2. Number of shares outstanding before the change 3,465,984
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3. Number of shares outstanding after the change 3,698,695
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4. Effective date of change August 21, 1996
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5. Method of change: Specify method (such as merger, acquisition, exchange,
distribution, stock split, reverse split, aquisition of stock for
treasury, etc.):
Conversion of oustanding 7.85% Convertible Subordinated
Notes due June 30, 2002 into shares of common stock.
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6. Give brief description of transaction:
On August 1, 1996, the Company redeemed all of its issued and outstanding
7.85% Convertible Subordinated Notes due June 30, 2002. Holders of the
Notes had the option to convert their Notes, at the per share conversion
price of $10.56, into shares of common stock until August 1, 1996.
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I. CHANGE IN NAME OF ISSUER
1. Name prior to change
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2. Name after change
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3. Effective date of charter amendment changing name
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4. Date of shareholder approval of change, if required
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Date: August 26, 1996 /s/ A. G. Espe
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A. G. Espe, Chairman and
Chief Executive Officer
